Step 1: Finding the equation of the tangent.
For the curve \( x^2 = -4y \), the derivative is:
\[
\frac{d}{dx}(x^2) = \frac{d}{dx}(-4y) \quad \Rightarrow \quad 2x = -4 \frac{dy}{dx}
\]
Thus:
\[
\frac{dy}{dx} = \frac{-x}{2}
\]
At the point \( P(-4, -4) \), the slope of the tangent is:
\[
\frac{dy}{dx} = \frac{-(-4)}{2} = 2
\]
Step 2: Equation of the tangent.
Using the point-slope form of the equation of a line, we have:
\[
y - (-4) = 2(x - (-4)) \quad \Rightarrow \quad y + 4 = 2(x + 4)
\]
Simplifying, we get:
\[
2x - y + 4 = 0
\]
Step 3: Conclusion.
Thus, the equation of the tangent is \( 2x - y + 4 = 0 \), which makes option (B) the correct answer.